Shirley J, Wing S
South Thames Haematology Audit Committee, Haematology Department, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey GU2 5XX, UK.
J Clin Pathol. 2001 Aug;54(8):647-9. doi: 10.1136/jcp.54.8.647.
The cost of out of hours services makes up a considerable proportion of the total laboratory budget and this has encouraged haematologists to examine workload patterns and the organisation and cost of out of hours services.
To review current levels of out of hours workload and examine the organisation and cost of the service in the South Thames region.
Data collection was by questionnaire and data analysis by Microsoft Excel.
A variety of methods of organising and financing out of hours services were identified. There was a large variation in workload between different centres. There has been a rise in total workload and out of hours workload over a three year period. The most common tests to take place outside routine hours are full blood counts and clotting screens. The method of providing out of hours services did not affect total numbers of out of hours tests. There were considerable costs associated with time off in lieu for on call staff.
The variation and increase in out of hours tests is not related to the way that out of hours services are provided, but is more likely to result from changes in medical practice. There are pronounced differences between centres in the numbers of different types of tests performed out of hours, which are not related to the numbers of acute beds. There is no single model of out of hours service provision that suits all situations.
非工作时间服务的成本在实验室总预算中占相当大的比例，这促使血液学家研究工作量模式以及非工作时间服务的组织和成本。
回顾南泰晤士地区非工作时间的工作量现状，并研究该服务的组织和成本。
通过问卷调查收集数据，并使用微软Excel进行数据分析。
确定了多种组织和资助非工作时间服务的方法。不同中心之间的工作量差异很大。在三年期间，总工作量和非工作时间工作量都有所增加。非工作时间最常见的检测项目是全血细胞计数和凝血筛查。提供非工作时间服务的方式并未影响非工作时间检测的总数。与给值班人员安排调休相关的成本很高。
非工作时间检测的差异和增加与提供非工作时间服务的方式无关，而更可能是医疗实践变化导致的。不同中心在非工作时间进行的不同类型检测数量存在显著差异，这与急症床位数量无关。没有一种适用于所有情况的非工作时间服务提供模式。
